- Rush University Medical Center (Chicago, IL)
- …months of employment . * Three years of E/M and/or surgical coding experience. * Extensive knowledge of federal, state, and payer-specific regulations and ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications *… more
- Cognizant (Springfield, IL)
- …following benefits for this position, subject to applicable eligibility requirements: . Medical /Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off . ... **Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10… more
- CenterWell (Springfield, IL)
- …**Required Qualifications** + Minimum 5 years of management experience + 8 or more years of Medical Coding , IPA, or similar experience + Medical Coding ... direct-reports and matrixed functions + Proven ability to drive medical coding program effectiveness and oversight across...base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Datavant (Springfield, IL)
- …+ Understanding of Medicare, Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding of health insurance plans operations ... looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy and performance for our… more
- Elevance Health (Chicago, IL)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
- J&J Family of Companies (Chicago, IL)
- …building strong customer relationship . Demonstrated expertise with both pharmacy and medical /buy & bill benefits, coding , and billing . Reimbursement or ... eligible to participate in the following Company sponsored employee benefit programs: medical , dental, vision, life insurance , short- and long-term disability,… more
- Intermountain Health (Springfield, IL)
- …cycle knowledge + Technical/technology acumen + Customer service + Time management + Medical terminology + Medical coding + Competency proficiency **Physical ... Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior authorization and managing authorization related denials… more
- Humana (Springfield, IL)
- …Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Springfield, IL)
- …Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... caring community and help us put health first** The Medical Director relies on medical background and...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Springfield, IL)
- …Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... caring community and help us put health first** The Medical Director relies on medical background and...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
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